Individual
DR. GYANENDRA KUMAR SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S., M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48390
GA
207RC0000X
Cardiovascular Disease Physician
Primary
48390
GA
207RC0000X
Cardiovascular Disease Physician
MD423894
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008832600001
—
PA
Enumeration date
05/23/2005
Last updated
01/09/2026
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